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Updated: Jul 21, 2026

TMS: Using the Theta-Burst Protocol to Explore Mechanism of Plasticity in Individuals with Fragile X Syndrome and Autism
Published on: December 28, 2010
Phase-synchronized 40 Hz tACS and iTBS effects on gamma oscillations
Benedikt Glinski1,2, Mohammed Ali Salehinejad1,3,4, Kuri Takahashi1,2
1Department of Psychology and Neurosciences, Leibniz Research Centre for Working Environment and Human Factors, Dortmund, Germany.
Novel brain stimulation techniques, including phase-locked intermittent theta-burst stimulation (iTBS) and transcranial alternating current stimulation (tACS), effectively enhance gamma oscillations. The combined iTBS-tACS Peak method shows the most stable, long-lasting gamma activity increase, offering potential for Alzheimer
Area of Science:
- Neuroscience
- Cognitive Science
- Neuromodulation
Background:
- Gamma oscillations are vital for cognitive functions like memory.
- Reduced gamma activity is observed in Alzheimer's Disease (AD).
- Noninvasive brain stimulation methods are being explored to modulate brain oscillations.
Purpose of the Study:
- To investigate the effects of novel noninvasive brain stimulation techniques on gamma oscillations.
- To compare the efficacy of 40-Hz intermittent theta-burst stimulation (iTBS) and transcranial alternating current stimulation (tACS), individually and combined, in modulating gamma activity.
- To explore the potential of these interventions for conditions with attenuated gamma oscillations, such as AD.
Main Methods:
- Thirty healthy young participants underwent five conditions: 40-Hz tACS, 40-Hz iTBS, two combined iTBS-tACS protocols (peak and trough), and sham stimulation.
- Interventions targeted the dorsolateral prefrontal cortex.
- Gamma oscillatory activity was monitored for 2 hours post-intervention using electroencephalography (EEG).
Main Results:
- All stimulation protocols significantly enhanced 40-Hz oscillatory power.
- The iTBS-tACS Peak intervention demonstrated the most significant and sustained increase in gamma activity for up to 2 hours.
- 40-Hz tACS and 40-Hz iTBS showed strong acute effects (up to 30 minutes), with 40-Hz tACS showing consistent gamma induction for up to 2 hours.
Conclusions:
- Phase-synchronizing iTBS with tACS at 40 Hz, and 40-Hz tACS alone, are viable methods for inducing and stabilizing gamma oscillatory activity.
- These findings suggest potential therapeutic applications for conditions characterized by reduced gamma oscillations, like Alzheimer's Disease.

